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General NPI Number Information
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NPI Number | 1659476455
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Entity Type | Organization
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Legal Business Name | KOOTENAI HEALTH, INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 2003 KOOTENAI HEALTH WAY
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6051
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Country | US
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Telephone | 208-625-5083
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Fax | 208-625-5731
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Provider Business Mailing Address
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Address Line | 2003 KOOTENAI HEALTH WAY
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6051
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Country | US
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Telephone | 208-625-5083
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Fax | 208-625-5731
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Authorized Official
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Title or Position | CEO
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Name | JON NESS
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Credential |
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Telephone | 208-625-5081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 42
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License Number State | ID
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